Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $2,747.00 / $5,484.00	Facility		$1,924.00	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,141.30 / $1,141.30 / $1,172.83	Professional		$1,141.30	$1,141.30	$1,172.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,082.19 / $1,395.26 / $1,674.32	Professional		$1,082.19	$1,395.26	$1,674.32
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,463.70 / $1,601.86 / $1,891.19	Professional		$1,463.70	$1,601.86	$1,891.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,227.83 / $1,339.45 / $1,562.69	Professional		$1,227.83	$1,339.45	$1,562.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,135.40 / $1,395.26 / $1,780.46	Professional		$1,135.40	$1,395.26	$1,780.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,164.32 / $1,506.24	Professional		$29.27	$1,164.32	$1,506.24